Jimenez, Theodore

Jimenez, Theodore is an individual health care provider with primary practice located at 1650 Cochrane Cir Unit Meddac , Fort Carson CO 80913-4604. He recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as his primary health care specialty. Jimenez, Theodore can be contacted via phone (719) 526-7422.

Contact Information

Primary practice address
1650 Cochrane Cir Unit Meddac Fort Carson CO 80913-4604
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X PN.0333204 Colorado

Profile Details

NPI number 1568054286
LBN Legal business name Jimenez, Theodore
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2021
Last updated Feb 4th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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